Annals for Hospitalists Inpatient Notes - Improving Medication Reconciliation in Hospitals
Authors: Jeffrey L. Schnipper
Journal: Annals of Internal Medicine (2022)

Web ExclusivesAugust 2022Annals for Hospitalists Inpatient Notes - Improving Medication Reconciliation in HospitalsJeffrey L. Schnipper, MD, MPHJeffrey L. Schnipper, MD, MPHHospital Medicine Unit, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.L.S.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-1954 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Transitions of care into and out of the hospital are vulnerable times for patients, especially when it comes to medication safety. One type of medication error that occurs during care transitions is medication discrepancies, defined as unexplained differences among documented regimens across different sites of care. Discrepancies are the result of 2 different breakdowns in our care processes: history errors and reconciliation errors. History errors occur when ordered medications are incorrect because the preadmission medication history is incorrect (for example, failure to realize a patient was prescribed aspirin before admission). Reconciliation errors occur when ordered medications are incorrect despite an ...References1. Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23:1414-22. [PMID: 18563493] doi:10.1007/s11606-008-0687-9 CrossrefMedlineGoogle Scholar2. Salanitro AH, Kripalani S, Resnic J, et al. Rationale and design of the Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS). BMC Health Serv Res. 2013;13:230. [PMID: 23800355] doi:10.1186/1472-6963-13-230 CrossrefMedlineGoogle Scholar3. Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications at Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. J Gen Intern Med. 2010;25:441-7. [PMID: 20180158] doi:10.1007/s11606-010-1256-6 CrossrefMedlineGoogle Scholar4. Schnipper JL, Reyes Nieva H, Mallouk M, et al; MARQUIS2 Site Leaders. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. BMJ Qual Saf. 2022;31:278-286. [PMID: 33927025] doi:10.1136/bmjqs-2020-012709 CrossrefMedlineGoogle Scholar5. Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25:726-30. [PMID: 26795914] doi:10.1136/bmjqs-2015-004734 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Hospital Medicine Unit, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.L.S.).Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-1954.Corresponding Author: Jeffrey L. Schnipper, MD, MPH, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, 1620 Tremont Street, BC-3, Boston, MA 02120-1613; e-mail, [email protected]harvard.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - August 2022 Megan Mack , Matthew Luzum , and David H. Wesorick Metrics August 2022Volume 175, Issue 8Page: HO2-HO3KeywordsHospital medicineHospitalistsPharmacistsQuality improvementSafety ePublished: 16 August 2022 Issue Published: August 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...